ARC 3554C
HUMAN SERVICES DEPARTMENT[441]
Adopted and Filed
Pursuant to the authority of Iowa Code section 249A.4 and 2017 Iowa Acts, House File 653, section 93, the Department of Human Services hereby amends Chapter 79, “Other Policies Relating to Providers of Medical and Remedial Care,” Iowa Administrative Code.
These amendments allow Medicaid providers, in addition to providing narrative documentation, to provide narrative documentation of service in a checkbox form format. This change is being made to assist Medicaid providers to have a consistent interpretation of the documentation requirements for services provided.
Notice of Intended Action was published in the Iowa Administrative Bulletin as ARC 3357C on October 11, 2017. These amendments were also Adopted and Filed Emergency and published as ARC 3358C on the same date and became effective October 1, 2017. The Department received no comments during the public comment period. These amendments are identical to those published under Notice of Intended Action and Adopted and Filed Emergency.
The Council on Human Services adopted these amendments on December 13, 2017.
These amendments do not provide for waivers in specific situations because requests for the waiver of any rule may be submitted under the Department’s general rule on exceptions at 441—1.8(17A,217).
After analysis and review of this rule making, no impact on jobs has been found.
These amendments are intended to implement Iowa Code section 249A.4 and 2017 Iowa Acts, House File 653, section 93.
These amendments will become effective February 7, 2018, at which time the Adopted and Filed Emergency amendments are hereby rescinded.
The following amendments are adopted.
	Item 1. Amend subparagraph 79.3(2)“c”(3) as follows:
	(3)	Service documentation. The record for each service provided shall include information necessary to substantiate that the service was provided . Service documentation shall include narrative documentation and may also include documentation in checkbox format. The service record shall include the following:
	1. to 9. No change.	
	Item 2. Amend subparagraph 79.3(2)“d”(6) as follows:
	(6)	Other advanced registered nurse practitioner services:
	1. and 2. No change.	
	3.	Other service documentation as applicable.
	Item 3. Amend subparagraph 79.3(2)“d”(8) as follows:
	(8)	Psychologist services:
	1. and 2. No change.	
	3.	Other service documentation as applicable.
	Item 4. Amend subparagraph 79.3(2)“d”(11) as follows:
	(11)	Services provided by community mental health centers:
	1. to 6. No change.	
	7.	Other service documentation as applicable.
	Item 5. Amend subparagraph 79.3(2)“d”(24) as follows:
	(24)	Home- and community-based habilitation services:
	1. to 3. No change.	
	4.	Other service documentation as applicable.
	Item 6. Amend subparagraph 79.3(2)“d”(25) as follows:
	(25)	Behavioral health intervention:
	1. to 3. No change.	
	4.	Other service documentation as applicable.
	Item 7. Amend subparagraph 79.3(2)“d”(33) as follows:
	(33)	Case management services, including HCBS case management services:
	1. to 7. No change.	
	8.	Other service documentation as applicable.
	Item 8. Amend subparagraph 79.3(2)“d”(35) as follows:
	(35)	Home- and community-based waiver services, other than case management:
	1. to 7. No change.	
	8.	Other service documentation as applicable.
	Item 9. Amend subparagraph 79.3(2)“d”(39) as follows:
	(39)	Behavioral health services:
	1. to 3. No change.	
	4.	Other service documentation as applicable.
	Item 10. Amend subparagraph 79.3(2)“d”(42) as follows:
	(42)	Community-based neurobehavioral rehabilitation residential services and community-based neurobehavioral rehabilitation intermittent services:
	1. to 9. No change.	
	10.	Other service documentation as applicable.
[Filed 12/13/17, effective 2/7/18]
[Published 1/3/18]
Editor’s Note: For replacement pages for IAC, see IAC Supplement 1/3/18.